§170.315(g)(3) Safety-enhanced design
1. EHR Vendors will have more time to focus on their users.
a. To be able to obtain the ONC certification (and meaningful use funding for their customers) EHR vendors must follow a formal User Centered Design (UCD) process.
b. We recommend that EHR vendors follow ISO-9241-11 and show evidence that their design process is focused upon efficiency, effectiveness, and satisfaction.
2. EHR vendors will have time to perform many iterations of user testing.
Join ONC on Wednesday, December 18 for a webinar discussion regarding the proposed regulatory timeline for EHR certification criteria for 2015.
Web Conference Information
Conference Line: 888-469-1748
Meeting Number: 243-89
ONC subject matter experts will provide information about the new timeline and then will be available for a question-and-answer session following the presentation.
Under the revised timeline, Stage 2 will be extended through 2016 and Stage 3 will begin in 2017 for those providers that have completed at least two years in Stage 2. The goal of this change is two-fold: first, to allow CMS and ONC to focus efforts on the successful implementation of the enhanced patient engagement, interoperability and health information exchange requirements in Stage 2; and second, to utilize data from Stage 2 participation to inform policy decisions for Stage 3.
NEW YORK, December 6, 2013 – WCH’ Service Bureau’s iSmart EHR has been tested and certified under the Drummond Group's Electronic Health Records Office of the National Coordinator Authorized Certification Body (ONC-ACB) program. This EHR software is compliant in accordance with the criteria adopted by the Secretary of the U.S. Department of Health and Human Services.
§170.315(g)(3) Safety-enhanced design
As providers of usability testing and user experience services we know that one of the major advantages of electronic health records (EHRs) are their potential to increase patient safety by preventing, detecting and aiding in the recovery from human errors. ONC has set certification standards for safety-enhanced design (SED), making patient safety a primary focus in the design of an EHR.
CMS and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and certification criteria that EHRs must use in order to successfully capture and calculate objectives for Stage 2 of Meaningful Use. These new standards and certification criteria now in effect.
The Electronic Health Record Association (EHR Association), a non-profit association of more than 40 EHR companies, created an electronic health record (EHR) Developer Code of Conduct, which aims to encourage transparency and collaboration among EHR developers, as well as developers, providers, and industry stakeholders. The latest version of the code of conduct is available as a pdf here: http://bit.ly/13A1oLc
On the first page, the very first item (after a general statement) is Patient Safety.
The code says:
Here are the Top 10 Healthcare Usability Myths Debunked
Myth # 1 Clinicians are uncomfortable with technology and just need more training.
Fact: Current HIT systems often don’t fit the way end users think and work.
Myth # 2 Put it all on 1 screen to make it easier to use.
Fact: Developers need to understand workflows and tasks to know what information is needed.
Myth # 3 Whoever has the Most features wins.
Fact: Vet your current feature set. Less may be more.
We provide Safety-enhanced Design (aka Usability) testing services for the ONC 2014 Edition and the ONC 2015 Certification
We are pleased to announce that our talk, "Conducting Usability Evaluations for Meaning Use Stage 2 Funding " was presented at the OSEHRA 2nd Annual Summit.
When: Friday, September 6, 2013 10:30am White Oak Rm B
Bethesda North Marriott Conference Center
For information on conducting and reporting on the §170.314(g)(3) Safety-enhanced Design Criteria for meaningful use stage two certification see:
The new mark for certified electronic health records technology was unveiled Wednesday and will appear on EHR products that have been certified by an ONC-Authorized Certification Body, indicating that the product meets the 2014 Edition Standards and Certification Criteria.
Eligible professionals and hospitals must demonstrate meaningful use of EHR technology that has been certified under the ONC Health Information Technology Certification Program to qualify for Medicare and Medicaid EHR incentive payments.
Usability is often blamed by physicians' as the root cause of their dissatisfaction with their electronic health record systems (EHRs)
Some of the usability issues are addressed in Stage 2 of the ONC Meaningful Use incentive program.
During that stage, usability has been made part of the certification process. Vendors must go through formal usability evaluations in order to have their products approved as complying with meaningful use.
An American Medical Informatics Association (AMIA) Task Force on Usability made 10 recommendations to improve safety and quality by enhancing the usability of electronic health records. These recommendations were recently published in the Journal of the American Medical Informatics Association.
The AMIA task force examined the literature and vendor experiences with EHR design and implementation and made the recommendations across four major areas: human factors health information technology research, health IT policy, industry and the clinician end-user of EHR software.
Usability is "the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use" [ISO9241]. Usability represents an important yet often overlooked factor impacting the adoption and meaningful use of electronic health record (EHR) systems. Without usable systems, doctors, medical technicians, nurses, administrative staff, consumers, and other users cannot gain the potential benefits of features and functions of EHR systems.
This document provides NIST guidance for those developing electronic health record (EHR) applications who need to know more about processes of user centered design (UCD).
The Usability People work with you on improving the Usability of Healthcare IT.
For expert 2015 ONC Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People
Together we may save a life! #SafeHealthIT